Individual
KELLY RUTHANNE KLEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
489 STATE ST, BANGOR, ME 04401-6616
(207) 973-4011
(207) 973-4832
Mailing address
489 STATE ST, BANGOR, ME 04401-6616
(207) 973-5000
(207) 973-5042
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
018725
ME
207P00000X
Emergency Medicine Physician
Primary
MD18725
ME
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
M1839
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
176249401
—
TX
Enumeration date
04/28/2006
Last updated
03/31/2026
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